Journal of dental hygiene science (치위생과학회지)

The Korean Society of Dental Hygiene Science (한국치위생과학회)
권호 표지

The Effect of Health Status on General Quality of Life and Oral Health Related Quality of Life in the Middle-Aged Adults

일부 중년기 성인에서 건강상태가 일반적 삶의 질과 구강건강관련 삶의 질에 미치는 영향

  • Park, Eun-Seon (Department of Dentistry, The Catholic University of Korea, Incheon St. Mary's Hospital) ;
  • Choi, Jun-Seon (Department of Dental Hygiene, College of Health Science, Gachon University)
  • 박은선 (가톨릭대학교 인천성모병원 치과) ;
  • 최준선 (가천대학교 보건과학대학 치위생학과)
  • Published : 2012.12.31
⟨ Previous Next ⟩

Abstract

This study was executed to provide the basic data that can be helpful for a program aiming at the enhancement of life quality or establishment of policy related to public health by analyzing the importance of health state among the middle-aged adults when it came to the decision of life quality. For 160 adults who were older than 40 years old, a survey was conducted and the results were derived by using t-test, one way ANOVA, and multiple regression analysis. Followings are the outcome of the study. According to such results, it was known that the level of general life quality and oral health related life quality were shown to be different depending on symptoms of depression and xerostomia. Therefore, it suggests that prevention and early intervention of depression and xerostomia will make a great contribution to improve the life quality among the middle-aged adults.

본 연구는 중년층 성인의 삶의 질 결정에 있어 건강상태의 중요성을 분석함으로써 삶의 질 향상을 위한 프로그램 기획이나 보건정책수립에 필요한 기초자료를 제공하고자 하였다. 본 연구목적을 달성하기 위해 2011년 1월 14일부터 2월 22일까지 경기 인천 지역에 거주하는 만 40세 이상의 중년층 성인에게 설문조사를 시행하였으며, t-test와 One way ANOVA 분석 및 다중선형회귀분석을 시행한 결과 다음과 같은 결론을 얻었다. 1. 일반적 특성에 따라 삶의 질 수준을 분석한 결과 일반적 삶의 질 수준은 40~50세 연령층과 고졸 이상, 가정 월평균 수입이 201만원 이상, 가족 등과 동거자 및 기혼자에서 높았다(p<0.05). 또한 구강건강관련 삶의 질은 40~50세와 고졸 이상, 가정 월 평균 수입이 201만원 이상 및 기혼자에서 높게 나타났다(p<0.05). 2. 건강상태에 따른 삶의 질 수준을 분석한 결과 일반적 삶의 질 수준은 전반적으로 건강하다고 인식하고 있고, 위장질환이 없으며, 이환된 전신질환이 없고, 매일 복용하는 약물이 없으며, 월경이 있고 우울증 증상이 9점 이하인 집단에서 높게 나타났다(p<0.05). 또한 구강건강관련 삶의 질 수준은 전반적으로 건강하다고 인식하고 있고, 당뇨병이 없으며, 이환된 전신질환이 없고, 매일 복용하는 약물이 없으며, 월경이 있고 우울증 증상이 9점 이하인 집단에서 높게 나타났다(p<0.05). 3. 구강건강상태에 따른 삶의 질 수준을 분석한 결과 일반적 삶의 질은 전반적으로 구강상태가 건강하다고 인식하고 있고, 밤시간에 입마름 등 구강건조증 증상을 전혀 인식하지 않는 집단에서 높게 나타났다(p<0.05). 또한 구강건강 관련 삶의 질은 치주질환 증상이 3개 이하이고 밤시간에 입마름 등 구강건조증 증상을 전혀 인식하지 않는 집단에서 높게 나타났다(p<0.05). 4. 일반적 삶의 질, 구강건강관련 삶의 질과 관련된 요인들의 연관성 강도를 분석한 결과 일반적 삶의 질은 우울증 증상($\beta$=-0.561)과, 구강건강관련 삶의 질은 구강건조증 증상($\beta$=-0.566)과 가장 높은 연관성을 보였다(p<0.001). 이상의 연구결과를 바탕으로 우울증과 구강건조증 인식도에 따라 일반적 삶의 질 또는 구강건강관련 삶의 질 수준이 다르게 나타남을 알 수 있었다. 따라서, 중년층에서 우울증과 구강건조증의 예방 및 조기관리는 삶의 질을 향상시키는데 크게 기여할 것으로 생각한다.

Keywords

References

  1. Statistics Korea: 2010 Life table. Statistics Korea, Daejeon, 2011.
  2. Geurink KV: Community oral health practice for the dental hygienist. 2th ed. Elsevier Saunders, Missouri, pp.2-3, 2002.
  3. Yu SH, Lee YW: Public health in elder. 1st ed. Gyechuk, Seoul, pp.79-80, 2008.
  4. Park KM, Whangbo SH, Lee JS: A study on the quality of life of the middle-aged in Pohang city-comparison 1988 data with 1998s of quality of life. Keimyung J Nurs Sci 3: 97-110, 1999.
  5. Noh YJ: A study of quality of life of middle-aged adults in Seoul. Unpublished doctoral dissertation, Yonsei University, Seoul, 1988.
  6. Kang IH: Elderly's satisfaction of long-term care services and quality of life: focused on in-home care services. Unpublished master's thesis, Catholic University, Seoul, 2011.
  7. Choi WH: The relationship of depression, fatigue and quality of life in middle-aged adults. J Korean Soc Health Serv Manage 6: 91-99, 2012. https://doi.org/10.12811/kshsm.2012.6.2.091
  8. Lim SJ, Auh SY: The research on the ecological influential factors of the perceived quality of life among the middle aged adults. J Korean Fam Res Manage Assoc 15: 129-147, 2011.
  9. Park KS, et al.: The comparison of health-related quality of life between the institutional elderly and the community living elderly. Korean J Prev Med 31: 293-309, 1998.
  10. Cho HY: Assessment of the quality of life in the patients underwent percutaneous coronary intervention. Unpublished master's thesis, Chonnam National University, Gwangju, 2007.
  11. Kim GE: Relationship between fatigue and quality of life of hospitalized patients with stomach cancer. Unpublished master's thesis, Kosin University, Busan, 2003.
  12. Kim KS, et al.: Quality of life and related factors in patients with chronic hepatitis B. J Korean Acad Fundam Nurs 14: 331-339, 2007.
  13. Choi JS, et al.: The association between self-reported oral health problems and oral health-related quality of life. J Korean Acad Oral Health 34: 411-421, 2010.
  14. Han SJ: A study on the relations between physical exercise and quality of life in middle-aged adults. J Korea Community Health Nurs Acad Soc 18: 14-26, 2004.
  15. Ahn HS, et al.: Effects of the degree of preparation for old age and perception of the successful aging on life satisfaction of middle-aged women. J Korean Fam Res Manage Assoc 13: 137-155, 2009.
  16. Palmore E, Luikart C: Health and social factors related to life satisfaction. J Health Soc Behav 13: 68-80, 1972. https://doi.org/10.2307/2136974
  17. Beck AT, Steer Ra, Garbin MG: Psychometric properties of the Beck Depression Inventory: twenty-five years of evaluation. Clin Psychol Rev 8: 77-100, 1988. https://doi.org/10.1016/0272-7358(88)90050-5
  18. Ng SK, Leung WK: Oral health-related quality of life and periodontal status. Community Dent Oral Epidemiol 34: 114-122, 2006. https://doi.org/10.1111/j.1600-0528.2006.00267.x
  19. Busato IMS, Brancher JA, Machado MAN: Impact of xerostomia on the quality of life of adolescents with type 1 diabetes mellitus. Oral Surg Oral Med Oral Pathol Oral Radio Endod 108: 376-382, 2009. https://doi.org/10.1016/j.tripleo.2009.05.005
  20. Fox PC, Busch KA, Baum BJ: Subjective reports of xerostomia and objective measures of salivary gland performance. J Am Dent Assoc 115: 501-584, 1987.
  21. World Health Organization: Development of the World Health Organization WHOQOL-BREF quality of life assessment. Psychol Med 28: 551-558, 1998. https://doi.org/10.1017/S0033291798006667
  22. Slade GD: Derivation and validation of a short form oral health impact profile. Community Dent Oral Epidemiol 25: 284-290, 1997. https://doi.org/10.1111/j.1600-0528.1997.tb00941.x
  23. Lee MR, et al.: Impact of subjectively reported oral health status on the quality of life among adults: applying the PRECEDE model. J Korean Soc Health Educ Promot 28: 23-35, 2011.
  24. Kim HK: Fatigue and factors influencing fatigue in middle-aged adults by age groups. Korean J Women Health Nurs 12: 273-281, 2006.
  25. Kim GB, et al.: Disease care in elder II. 1st ed. Hyunmoonsa, Seoul, pp.376-379, 2006.
  26. Statistics Korea: 2011 Causes of death statistics. Statistics Korea, Daejeon, 2012.
  27. Park YS, Kim UC: Self-efficacy and quality of life. 1st ed. Kyoyookkwahaksa, Seoul, pp.13-16, 2007.
  28. Weigel DJ, et al.: A longitudinal study of adolescents' perceptions of support and stress: stability and change. J Adolesc Res 13: 158-177, 1998. https://doi.org/10.1177/0743554898132004
  29. Lee HO, Kim J: Effects of elders' oral health beliefs and oral health behaviors on their quality of life. J Dent Hyg Sci 8: 57-63, 2008.
  30. Kim JB, et al.: Public oral health. 5th ed. Komoonsa, Seoul, pp.482-483, 2009.
  31. Fox PC, et al.: Xerostomia: evaluation of a symptoms with increasing significance. J Am Dent Assoc 110: 519-525, 1985.
  32. Sreebny LM, Vissink A: Dry mouth-the malevolent symptom: a clinical guide. 1st ed. Wiley Blackwell, Ames, pp.52-63, 2010.
  33. Kim HY: Chewing function impacts oral health-related quality of life among institutionalized and communitydwelling Korean elders. Community Dent Oral Epidemiol 37: 468-476, 2009. https://doi.org/10.1111/j.1600-0528.2009.00489.x
  34. Kim YS, Jun BH: A study of comparative the mastication capability and life quality of elderly people using dentures or implant. J Korean Soc Dent Hyg 11: 629-636, 2011.
  35. Walls AWG, et al.: Oral health and nutrition in older people. J Public Health Dent 60: 304-307, 2000. https://doi.org/10.1111/j.1752-7325.2000.tb03339.x
  36. Lee MR, Choi JS: Relationship of self-perceived symptoms of periodontal disease to quality of life in adults. J Dent Hyg Sci 12: 115-121, 2012.
  37. Kim MJ: A study on ages, learnings, monthly incomes and occurrence of dental diseases among industrial workers in Korea. J Dent Hyg Sci 2: 63-67, 2002.